Organization Active NPI

Cincinnati Dermatology, Inc.

  • Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1750437646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35-058847 Issued in OH
Legal business name
CINCINNATI DERMATOLOGY, INC.
Practice address
2859 Boudinot Ave
Suite 307
Cincinnati, OH 45238-1606
Phone
(513) 662-2500
Fax
(513) 662-2511
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John S Cardone, M.D.NPI 1275526915
Title
President
Phone
(513) 662-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 35-058847 OH Primary

Addresses

Primary practice location

2859 Boudinot Ave
Suite 307
Cincinnati, OH 45238-1606

Mailing address

2859 Boudinot Ave
Suite 307
Cincinnati, OH 45238-1606
Phone (513) 662-2500

National Provider Directory

National Provider Directory

Locations

2859 Boudinot Ave
Ste 307
Cincinnati, OH 45238
Phone (513) 662-2500

5885 Harrison Ave
Ste 3900
Cincinnati, OH 45248
Phone (513) 662-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750437646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 BOUDINOT AVE",
            "address_2": "SUITE 307",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452381606",
            "telephone_number": "513-662-2500",
            "fax_number": "513-662-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 BOUDINOT AVE",
            "address_2": "SUITE 307",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452381606",
            "telephone_number": "513-662-2500",
            "fax_number": "513-662-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARDONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-662-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35-058847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.